Spring 2007 Newsletter of HCAP
The Home Care Assistance Program staff encourages consumers to call with questions or concerns regarding homemaking services.
Home Care Assistance Program Staff
Betty Maher, Director
Felix Jordan, Supervisor
Angela Cipriano, Supervisor
Vacant, Boston (A-H) and Brookline
Debra Visocchi, East-Middlesex County
Eloise Cruz, Boston (I-M) and surrounding towns
Jodi Watson, Plymouth County, Cape and Islands, New Bedford, Fairhaven, Gosnold, Acushnet
Maria King, Boston (N-Z), Chelsea, Winthrop, Everett and Revere
Duncan Arden, Essex County and surrounding towns
Liz Morin, Northwestern MA and North- Worcester Counties
Katherine Chesebro, East-Norfolk and Bristol Counties
April Anderson and Chris O'Brien, West-Norfolk Counties, South-Worcester, West-Middlesex
Paulina Mauras, Southwestern MA
Angie Hoskins, Intake Coordinator
Lilly Lau, Accountant
Edward Loring, Accountant
Christine Rinaldi, Administrative Assistant
Bonny Taforo, Clerk
Betty Maher, MRC-HCAP Director
I was recently discussing the theme for this newsletter, that of leading enriching, fulfilling lives, in spite of or even because of the challenges presented by one's health condition or disability, with Don Summerfield, a consumer member of our Advisory Committee. Don stated, "Staying in recovery after any disability is extremely important. By that I mean, taking a proactive role in your own health care, and being active in the community in any way you can." The Home Care Assistance Program staff are able to provide you with some of the basic help you need to remain living in the community. How you choose to PARTICIPATE in the community is up to you. Obviously, your disability might present some (or MANY) challenges that prevent you from living your dream, but with a little reassessment of that dream and some accommodations and connections with the resources you might need, you CAN live a life that is fulfilling to you.
The articles in this "Resource Newsletter" offer some ideas and some inspiration. Whether you choose to explore work, volunteering, or just enhancing some skills for your own personal enjoyment, you might find the range of articles submitted by consumers, staff and providers, has something for you. In the meantime, our Case Managers continue to work hard to learn about new resources that may be of help to you, as well as to get to know you and your needs, whether through phone contact or home visits.
Since our last newsletter, we have new staff: Bonny Taforo is our new Clerk, and the person who usually answers our phones; Bonny previously worked as a Spanish-English translator at a school and as a Social Security Disability claims specialist at a law office.
Also new to the HCAP is Angie Hoskins, who comes to us from Bay Cove Human Services, where she worked in many capacities over the years, from Direct Care Worker to Human Rights Coordinator. Her hard work, dedication and compassion are apparent in her work here. As Intake Coordinator she has been EXTREMELY busy since starting here this past July. In August alone, Angie completed over 110 applications for home care services. This is more than 25% above our monthly average of 85 per month. This increase is in part due to Angie's diligence in taking one phone call after another all day, every day, but also is testament to the work of our Case Managers who have taken the time to explain our program, its importance, the eligibility criteria and the application process at many important forums, including meetings with hospital discharge planners, Tenancy Preservation Program Managers, Resident Service Coordinators and Independent Living Center staff, among others.
The need for our services is quite apparent and its importance in allowing those who receive the service to remain living independently is abundantly clear. All of us in the Home Care Assistance Program are gratified we can be a small part of your independence. We encourage you to use the resources within your communities to go from there… enjoy the next pages, including information about resources available to you. Remember too, this newsletter is a forum in which consumers, providers and HCAP staff share information. If you have a resource, or an idea you'd like to share, we'd love to hear from you.
Results of Provider Survey
Submitted by June Hailer, Consumer and HCAP Rehabilitation Advisory Council Member
Several months ago some agencies that provide homemaking services to consumers of the MRC's Home Care Assistance Program were sent out a survey and 31% of the providers responded with some very informative feedback as summarized below.
Many providers stated they provided anywhere between 16 to 40 hours of training to new homemakers. This statement translates into an average of 37 hours of training with an additional 3 hours of orientation for new staff that already have experience in the field of homemaking. A majority of the providers also mentioned they conducted trainings that follow the MCHCAS (Mass. Council for Home Care Aide Services) training curriculum. Those that are not able to provide this level of training, instead, hire homemakers who are Certified Nursing Assistants or Home Health Aides who are certified as a PCH (Personal Care Homemaker) or have passed the MCHCAS Competency Test. All providers even noted they always provide some level of supervision to their homemakers and get useful feedback from their homemaking consumers.
Providers generally stated they were assured of the skills of their homemakers through extensive questioning during interviews, requesting proof of certifications, agency trainings, initial and subsequent supervision of the homemakers at their new consumer's home, Criminal Offender Record Information (CORI) checks, Department of Public Health Abuse Registry checks and reference checks. Hence, the consumers rarely report to them that their homemakers lack sufficient skills to perform the required homemaking tasks.
When asked what beneficial additions providers wanted to see as part of their training programs, providers had many ideas. Some of these included adding more hours of training for Home Health Aides and Personal Care Attendants (PCA's), and an ESL component to trainings. Other suggestions were to hire more homemakers who spoke the consumers' languages and translate all forms and materials into these languages. Yet another suggestion was to develop a procedure that would allow for "training waivers" for homemakers who have a lot of experience. Although a number of providers already have trainings on a number of topics, the providers stated they would like to see trainings in the areas of: dementia/Alzheimer's Disease, mental illnesses, disability awareness, active listening, infectious diseases and HIPAA updates.
Lastly, the providers mentioned some key aspects of a successful provider of homemaking services. The importance of an equal level of respect and communication between homemakers and their consumers is extremely important (they both need to listen to and hear each other). The consumers need to better understand the limits of the task requirements of the homemakers and there needs to continue to be more fluid communication between case managers and providers. For example, if there is a question about a change in a consumer's "homemaking plan". Finally, it was noted that salary, benefits and transportation costs do have an overall and significant impact on the hiring of good homemakers.
Homemaking Vendor Showcase
Attentive Home Care, Inc., Marion, MA
Submitted by Sandra Britto, Owner
Attentive Home Care is an agency that provides home care to individuals who are elderly or have a disability. What makes Attentive Home Care unique is the people: starting with Sandra and Julius Britto, the owners of Attentive Home Care. The Brittos have provided home care services in the area for over 16 years. With Attentive, you have access to the owners and staff just by picking up the phone and because the owners live in the community, you can be assured the services provided by Attentive Home Care staff are of the highest quality. Attentive's field staff are trained, certified, insured and bonded. You need to only speak to any member of our staff to let them know of your concerns.
The services Attentive Home Care provides include the following:
- Homemaking: including light meal preparation, laundry, housekeeping and food shopping (MRC-HCAP has a contract with Attentive Home Care for HOMEMAKING only).
- Companionship: involving reading, playing games, discussion, crafts such as knitting and more.
- Personal Care: assistance with bathing and dressing when the individual can provide more than 50% of their ability to stand, sit or walk.
- Chore services: involving cleaning and clearing of clutter that has built up in the house over the years.
Most recently Attentive Home Care employees received training in the care of individuals with Alzheimer's Disease. Attentive currently has 22 certified Alzheimer Homemakers/Personal Care Attendants. Attentive Home Care is an equal opportunity employer. When available, we will provide a Portuguese or Spanish speaking caregiver.
Attentive's current service areas include Bristol and Plymouth counties from Plymouth to Hanover and Fall River to Buzzards Bay and all towns in between. Our main office is located in Marion at 354 Front St., phone # 508-748-1811. Office hours are 8am to 4pm with 24 hour emergency on-call services.
Our web site is under construction at www.attentivehc.com. Should you trust Attentive staff with the care of your loved one, it would be a privilege to provide our services.
Consumer Perspective: Enrichment
Submitted by Lisa Fleck, MRC-HCAP Consumer
Life…"It hurts. It sucks! I've been dealt a bad hand! Nobody understands me. I'm a LOSER! Why me?"
How many times have you said these words? Me? Countless times! Mostly as a young, healthy, vibrant woman. I thought my life was so hard. I had a college education, a wonderful career, made a lot of money, and drove a brand new car. I had the world by the tail. My future was bright and totally up to me.
What was missing?
Gratitude, Humility, Compassion, Spirituality...Most importantly, a belief in a Higher Power (I call mine Jesus). Yours is your own but it's crucial to believe in a power greater than yourself.
My real life began on March 4, 1991. Up and running at 5:30 am. Suit and heels - off to work. Then, the accident. The details are not important. They happen to millions of people every day: car accidents, a fall off a ladder, being hit by a car, even tripping and falling in your own home or getting hurt at work.
I remember the loud and rocky ambulance ride, the weeks in the hospital and several months at home recuperating. As I healed, I was becoming bored very quickly. All I had known for a long time was work, work, work. I was not used to sitting around all day. I tried to keep myself busy with crosswords. I wrote to old friends and caught up on long overdue phone calls. I used to sit and wait with baited breath for the nurse, physical therapist or occupational therapist to come. I was becoming depressed.
I begged the doctor to let me go back to work. He said no several times to my disappointment. After a few months he released me. I thought I would dance a jig! I joyfully went back to work with my damaged legs and forearm crutches. My attitude was that the crutches were part of me. Sure, adjustments would need to be made, but hey, I was not different in personality, heart or drive. My mind still worked, it was my legs that were not 100%. I was still me! Powerful! Forceful! Strong! Nothing could stop me!
I was going to be the same professional now as I was before my accident. Except for one thing...I was not the same. I was slower and tired. I lived with excruciating pain that got worse as time marched on. I did not sleep because of the pain. My personality started to change. I began to resent my own body for not being able to keep up. Depression thickened. Food became my comfort and I started to gain weight. I could not keep up with any exercise. My bones and muscles eeked and squeaked. As time went by even the simple things like doing the dishes were a painful prospect. I found that I could not stand up long enough to cook or clean. I ended up having chairs in strategic places in my home so I could sit quickly if needed. Arthritis crept up from my lower limbs to my spine. I am sure you get the picture. My world was shrinking into an ugly, painful place.
It was not long until September 7, 1996 came. That was the last day at work. I was heartbroken and relieved at the same time. I said my goodbyes and collected my hugs. Cleaning out my desk, I happily laughed alongside those who were also leaving during that month. We talked about "having time for the finer things in life". But for me, I was scared.
At 35, I was not ready to quit. However, I could no longer handle the responsibilities of my job. I could hardly walk due to arthritis. I was exhausted and often times needed to sleep in the middle of the day. I got dizzy and was off-balance. My foot dragged and I started to trip a lot. And, I found my mind felt like it did not work right. I thought it was all stress and I would feel better after decompressing from working. I thought some time off would do me a lot of good. I was sure after a couple of weeks I would be feeling fine, like my old self again.
Unfortunately, that did not happen. In fact, over the next few months, my symptoms got worse. The depression continued to deepen. Over the next couple of years I was diagnosed with several illnesses: Fibromyalgia, Lympho Edema, Chronic Fatigue Syndrome and more...lots more!
One day I was driving home and felt light-headed. My vision started to fade so I quickly pulled into an empty parking lot. I tried to call for help but I could not speak. I was drooling and my head hung to one side. I tried to reach for my cell phone for help but my arms were like lead. Time passed and eventually my function returned. I thought I had a stroke. My physician referred me to a neurologist. After some tests, I was diagnosed with Multiple Sclerosis (MS). My head was spinning. I read all I could about the disease. The first thing I found out was I was not crazy. Brain lesions and chemical issues caused a lot of the symptoms. I still have several other diagnoses that make life even more "interesting".
MS, unfortunately, is a progressive disease. For the last couple of years I have taken daily injections that slow the progress of the disease. I have good days and bad days. I cannot stand for more than a minute or two and I cannot walk more than 50 feet. These days I get tired really fast. Sometimes my speech is slurred and I hesitate to find the words. I may say one thing and mean another thing. And some days pain is absolutely unbearable. At times, I see poorly like there is a layer of skin over my eyes. So my life and my health is extremely unpredictable.
Most of my life I have measured my worth by how well I did at my job. How much I knew about the company I worked for. I ran that place like a top and still I was able to juggle other things. Can you imagine how awful I felt about myself when I started to slip?
Now that I was disabled and no longer worked, I felt pretty useless and worthless. Some of my days were really bad. I had become a weak, slow, hopeless, forgetful person in excruciating pain. I used to be smart, quick and fun. Now I had dwindled into someone who could not remember simple words and phrases. I began having awful thoughts….
Well, the most important thing that's ever happened to me is my sisters. They stuck by me NO MATTER WHAT! They were and still are my own personal cheerleaders. I had their complete support. They stuck by me and still do.
My sister Colleen encouraged me to draw and paint like when I was a kid. I yessed her to death for quite a while. I had not even done sketching in years. I already felt worthless because I could not be "super business woman". I had lost "it" and I was not going to find "it" in stick figure drawing. I did not even want to try.
For my birthday I got art supplies and beautiful brushes with brilliant colored paints. Then, the thing that changed everything for me was a book to teach myself painting. I started playing around and the next thing I knew I was painting on everything: wine glasses, mugs, flower pots, serving trays, small furniture, mirrors, and anything I could get my hands on!
Suddenly, I was changing. I was happier and felt like I had a hidden secret about myself-a gift God gave me that I pretty much ignored. Here I was "hopeless, worthless", …...knocked off my business suit pedestal. And, it was painting that knocked me flat on my butt and I LOVED IT!
So, if you are sitting there reading this and feeling lonely, worthless, stupid, sick and tired, remember that YOU ARE NOT ALONE. I AM WITH YOU. I may not know your name or what your disability is or how you feel, but I carry you in my heart and prayers. I pray that you FIND YOUR GIFT, FIND YOUR VOICE, SPEAK UP FOR YOUR NEEDS. And I pray mostly that you find your higher power if you have not yet. DON'T EVER GIVE UP.
I thought I lost everything, but I found the truth and the person God meant for me to be. So, start looking my friend. You too have a gift to rebuild your hope, self-esteem, and your inner strength. I promise you it is there. And on your journey of rediscovering yourself, you will find out so much about your soul. Find your artist, your poet, your gardener, WHATEVER!
Remember, I AM WITH YOU IN SPIRIT. And you will find you have A LOT of "cheerleaders" along the way. GOOD LUCK!
Submitted by Lisa Weber, Consumer Involvement Program Coordinator
My name is Lisa Weber and I am a Program Coordinator in the Consumer Involvement Program at the MRC. I share with you the story of how my life changed last year, how I dealt with the consequences, and how I keep a positive attitude about my experiences.
In April of 2005 I was hit by a car while walking home. I was thrown into the air and landed hard. The driver took off (to this day I haven't found him) but my injuries were minor enough that I was able to stand up and walk away. I thought no serious or lasting effects would come of this occurrence.
Over the next days and weeks it became very obvious something was wrong. I had high fevers, blacked out in the shower, and began experiencing terrible headaches. Other symptoms weren't physically visible, and are hard to explain even now, but they were terrifying. I had unexplainable mood swings, severe depression, trouble forming words and sentences, and difficulty in writing. My vision didn't seem to work the way it used to, and it was harder to focus my eyes on anything. I still didn't understand what was happening. I made my first appointment with a neuropsychological specialist and began my first rounds of testing.
I managed to complete my last month of post-graduate education in May, and was hired by the MRC a few months later. It was here that I learned the term "brain injury". I had more tests done. When I got the official word that I had a brain injury, I didn't know whether to be terrified at the seriousness of it, or relieved that here at last was proof that I wasn't making this up, wasn't being paranoid, and wasn't just trying to get attention.
The theory is that I had some initial trouble caused by a head injury that happened when I was seven. It affected my vision to an extent, and may have
contributed to other problems, but none of it was so bad that I had to alter my life in any way. This last accident made everything a notch worse. I have problems with certain kinds of short-term memory and learning. At times, my writing resembles that of a person with a learning disability. My eyes, among other things, no longer "work as a team" and I have dizziness and headaches requiring medications to balance out some of the problems caused by the accident. I sometimes experience olfactory hallucinations which can be very distracting. It can be a constant struggle.
I've been a disability rights advocate my whole life. It is very, very strange to be "on the other side of the ADA". Nowadays, the brain injury is part of my identity. Today, I consider myself a happy successful person and I look forward to discovering new ways to improve my life and my health.
I am thrilled to have a position at the MRC where I know that people understand what I've been through. My job consists largely of coordinating the Annual Consumer Conference, the Artists with Disabilities Task Force, and the Consumer's Voice Newsletter. The MRC also has an Individual Consumer Consultant (ICC) Program. Any Massachusetts resident who has a disability may apply to this program, which hires and pays ICCs to complete projects for the Consumer Involvement Program. Feel free to contact me at email@example.com or (617) 204-3638 with any questions. I wish all of you the best of luck with your own personal endeavors.
Afraid of Losing your Benefits When Returning to Work?
Fear Not…Project IMPACT Can Help
Submitted by Joseph Reale, Director of Project IMPACT
Over the years, numerous studies suggested that people with disabilities who received Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) are hesitant to pursue a job. This is due to misconceptions regarding their loss of Social Security benefits when employed. These studies also indicated that work incentives available to SSDI and SSI beneficiaries were too complex and often resulted in more confusion as to the effect a job has on one's benefits. Over and over again we see that the two biggest concerns have to do with the fear of losing cash payment status or medical coverage. The Project IMPACT Program of the Massachusetts Rehabilitation Commission was established to help individuals gain some clarity and make the best informed decisions about his/her employment and independent living goals.
The Project IMPACT (Individual Members Planning and Assessing Choices Together) provides up-to-date information about public disability benefits including SSI, SSDI, Medicaid and Medicare. It also provides information on Transitional Aid to Families with Dependent Children (TAFDC), Emergency Aid to the Elderly, Disabled and Children (EAEDC), Food Stamp Program, CommonHealth, MassHealth, state and federal public housing, Section 8 housing vouchers and much more.
Project IMPACT's Benefits Specialists are constantly looking for ways to better serve consumers. They can create personalized benefit plans to assist consumers in making the most informed choices regarding employment. Benefits Specialists assist consumers, family members, and community professionals with navigating the public disability benefits system and in planning consumers' long-term benefits toward self-sufficiency. Project IMPACT staff continue to participate in trainings, as a way to stay up to date with the current public policies.
With the information provided by Project IMPACT, the Massachusetts Rehabilitation Commission has seen that more people with disabilities are choosing to join the workforce. Knowing what to expect, consumers can base their decisions on accurate information. Also, over time, they are able to refer to their concise individualized benefits plans. By having all the information about benefits and services explained at one time in a straightforward manner, each consumer is able to make informed choices about going to work. Ultimately, that is what IMPACT is all about; presenting to the consumer, their families and providers all the benefit information they need to make an educated decision regarding employment.
Project IMPACT's approach seems to be working, as it has surpassed its numeric goals every year, developing plans for more than 3400 people with disabilities. In addition to benefits plans, Project IMPACT staff have provided technical assistance to 4,800 more individuals.
Project IMPACT received a work incentive planning assistance grant from the Social Security Administration to continue providing individualized benefits planning services. For more information regarding this program, please contact Joseph Reale at 1-800-734-7475 or email firstname.lastname@example.org.
Wanted: Caring Adults with Disabilities
Submitted by Liz Morin, MRC-HCAP Case Manager
Have you ever been inspired by someone? Maybe you remember the influence of a family member, coach, supervisor, therapist, clergy member, or friend. Maybe that person or experience even helped shape who you are today. How would you like to make that difference in someone else's life? You may be thinking that you don't know anyone to help or that you have nothing to share. You may be wrong because a non-profit agency called Partners for Youth with Disabilities needs your help!
Partners for Youth with Disabilities (PYD) is located in Boston and provides opportunities to people statewide. PYD's purpose is to assist young people with disabilities to reach their full potential for personal development. They accomplish this by providing several types of mentoring programs which offer role modeling and social opportunities. They are always in need of caring adults who can volunteer to share some time with these youth. Currently there is a shortage of adult mentors….what have you got to lose?
There are a variety of ways to help and programs to get involved in. The most popular is the Mentor Match program. They even have an online community so if you've got access to a computer you may be just a click away from being an inspiration to someone! Adults with disabilities who qualify to be mentors meet with their mentees once every three to four weeks and remain in contact weekly by phone and/or email. Naturally, matches are made with consideration to the location, disability, and interests of both people. Short commitment volunteer opportunities are also available.
One example of how a mentor was recently able to support and inspire a youth blossomed from an opportunity to attend a Red Sox game. The shy youth from Lawrence was nervous and inexperienced with taking public transportation. This was a valuable skill to her as she is in her late teens and it could broaden her opportunities for social and vocational experiences.
The mentor helped the youth by encouraging her to take the commuter rail from the North Shore and the mentor would meet her at North Station in Boston. The youth summoned the courage to try since she knew her mentor was waiting in town for her. She did it! They met with big smiles and continued on to the subway to Fenway Park. A seemingly small success but one that helped build confidence and social skills for the shy youth with learning disabilities.
I worked with PYD in their Making Healthy Connections program last year and found it quite rewarding. I'd recommend seeing how you too can become involved with PYD if you'd like to contribute to your community. Volunteering can be a fulfilling experience especially if you are unable to work at the time.
If you're unavailable now, but know someone else who is, share this information with him or her. Adults without disabilities are also needed for certain programs. You can find out more information by calling Sarah Callahan, Mentoring Program Director at (617) 556-4075, (617) 314-2189 TDD, or by looking on their website which is pyd.org. Tell them you heard about PYD from the MRC-HCAP newsletter, The Resource!
Recreational Activities- A Resource for People with Disabilities
Submitted by Eloise Cruz, MRC-HCAP Case Manager
There are many wonderful recreational activities being offered across the state. Here are a few resources to investigate:
Individual Cities and Towns
Most cities and towns have local YMCA programs. To find your area YMCA go to www.ymca.net or contact your town or city office. Your town may also have a recreational department offering exciting activities all year!
Outdoor Explorations, Medford, MA 781-395-4183
Outdoor Explorations offers accessible adventures in hiking, white-water rafting, kayaking, etc. They offer day trips as well as two-day/overnight trips.
The Department of Conservation and Recreation
The Division of State Parks and Recreation offers a Universal Access Program which is dedicated to providing outdoor recreation opportunities at Massachusetts state parks for visitors of all abilities. Accessibility to our state parks is achieved via site improvements, specialized adaptive recreation equipment, and accessible recreation programs.
Alternative Leisure Company, Bedford, MA
ALC plans trips all over the world for people with disabilities
All Out Adventures
116 Pleasant St. Suite 3103, Easthampton, MA 01027
All Out Adventures is dedicated to enhancing the lives of people with disabilities through inclusive outdoor programming. They provide customized instruction to both groups and individuals. In addition they consult & contract with existing agencies to promote the most updated knowledge in adaptive recreation & assistive technology solutions.
NORTHEAST PASSAGE-University of New Hampshire
4 Library Way, Durham, NH 03824
603-862-0070(voice) or 1-800-735-2964 (TTY-New Hampshire relay)
Northeast Passage is a self-funded program of the University of New Hampshire and an affiliate of Disabled Sports USA. The program develops, delivers, and evaluates innovative barrier-free recreation and health promotion activities.
SPAULDING REHABILITATION HOSPITAL
Dr. Charles H. Weingarten Adaptive Sports and Recreation
125 Nashua Street, Boston, MA 02114
Contact: Bobbi Delaney at 781-431-9144 x. 216
This program offers cycling, wall-climbing, water sports, and seasonal sports such as tennis, fencing, and skiing. Open to former and current Spaulding Rehab patients (including all 6 outpatient sites) and also other people with disabilities in the community.
Submitted by Homemaker Larissa Nigro of Interim HealthCare,
West Springfield, MA
1 Can (6oz.) Crabmeat, drained, flaked
1 Jar of Old English Cheese Spread
1 Tbsp. Miracle Whip or regular mayonnaise
1/4 Tsp. Garlic Powder
1/4 Tsp. Seasoned Salt
1 Package of English Muffins
Preheat broiler to high heat (500 degrees). Mix all ingredients and spread evenly on halved English Muffins. Place on baking sheet. Broil until lightly browned, about 5 minutes. Wrap leftovers in plastic wrap and freeze, reheat in microwave or toaster oven until warmed through.
Optional: Garnish top with finely chopped onions and red peppers or even small canned shrimp.
Tomato Basil Soup
Submitted by Homemaker Dawn Fappiano of Hawthorne Services, Inc.,
2 Cups of Tomatoes, diced
1 Cup of Fresh Basil
4 Cups of Broth (chicken or vegetable)
1 Medium Onion, diced
2 Cloves of Garlic, minced
3 Tbsp. of Extra Virgin Olive Oil
Saute onion and garlic for 5 minutes. Add the rest of the ingredients and simmer for one hour. Serve warm or cold.
Submitted by Liz Morin
"If I have the belief that I can do it,
I will surely acquire the capacity to do it,
even if I may not have it at the beginning"
Massachusetts Rehabilitation Commission
Home Care Assistance Program
27 Wormwood Street, Boston, MA 02210-1616
1-800-223-2559 or 617-204-3853
Dr. JudyAnn Bigby
Elmer C. Bartels
John A. Chappell, Jr.
This information is provided by the Massachusetts Rehabilitation Commission.